Title 20 DEPARTMENT OF s3

Title 20—DEPARTMENT OF

INSURANCE, FINANCIAL

INSTITUTIONS AND

PROFESSIONAL REGISTRATION

Division 2150—State Board of

Registration for the Healing Arts

Chapter 6—Licensure of Athletic Trainers

20 CSR 2150-6.010 Definitions

PURPOSE: This rule defines terms used throughout this chapter.

PUBLISHER’S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here.

(1) As used in this rule, unless the context clearly requires otherwise, the following terms mean:

(A) Academic year—a continuous nine- (9-) month session in an athletic trainer program;

(B) Team physician or consulting physician—a person who is licensed as a physician and surgeon pursuant to Chapter 334, RSMo.

1. Risk Management and Injury Prevention;

2. Pathology of Injuries and Illnesses;

3. Assessment and Evaluation;

4. Acute Care of Injury and Illness;

5. Pharmacology;

6. Therapeutic Modalities;

7. Therapeutic Exercise;

8. General Medical Conditions and Disabilities;

9. Nutritional Aspects of Injury and Referral;

10. Psychosocial Intervention and Referral;

11. Health Care Administration;

12. Professional Development and Responsibilities;

13. Human Anatomy;

14. Biomechanics and Kinesiology; and

15. Exercise Physiology;

(D) Direct supervision—as defined by the National Athletic Trainers’ Association Board of Certification, Inc. or its successor agency between the athletic trainer licensed pursuant to Chapter 334, RSMo, and the prospective applicant;

(E) Certified athletic trainer—an athletic trainer certified by the National Athletic Trainers’ Association Board of Certification, Inc. or its successor agency;

(F) Educational quality equal—as defined in Athletic Training Clinical Proficiencies, 4th Edition, November 6, 2009, which is incorporated herein by reference as published by the National Athletic Trainers’ Association, Inc. or its successor agency, available upon request from this office or upon request from the National Athletic Trainers’ Association Board of Certification, Inc. 2952 Stemmons Freeway #200, Dallas, TX 75247 or its successor agency. This rule does not incorporate any subsequent amendments or additions;

(G) Athletic trainer—any person who, in any manner, represents him/herself as an athletic trainer, or who uses in connection with his/her name the words or letters athletic trainer, trainer, registered athletic trainer, certified athletic trainer, licensed athletic trainer, A.T., A.T.C., C.A.T., A.T.L., L.A.T., ATC/L or any other letters, word abbreviations, or insignia indicating or implying that s/he is an athletic trainer; and

(H) The phrase “Direction of the Team Physician and/or Consulting Physician” as used in section 334.702, RSMo, may be evidenced by the following:

1. A functional protocol form, signed by a team physician and/or consulting physician. The protocol form shall specify what procedures the athletic trainer may perform or initiate during the physician’s absence;

2. A written or verbal order from a team physician and/or consulting physician; and

3. Written procedures of the setting in which the athletic trainer practices that have been approved by the team physician and/or consulting physician.

AUTHORITY: section 334.125, RSMo 2000, and section 334.706.3(2), RSMo Supp. 2011.* This rule originally filed as 4 CSR 150-6.010. Emergency rule filed April 5, 1985, effective April 15, 1985, expired Aug. 13, 1985. Original rule filed May 3, 1985, effective Aug. 15, 1985. Amended: Filed Sept. 15, 1988, effective Jan. 1, 1989. Amended: Filed July 30, 2001, effective Jan. 30, 2002. Rescinded and readopted: Filed March 1, 2005, effective Aug. 30, 2005. Moved to 20 CSR 2150-6.010, effective Aug. 28, 2006. Amended: Filed Nov. 1, 2011, effective April 30, 2012.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995 and 334.706, RSMo 1983, amended 1993, 1995, 2004, 2006.

20 CSR 2150-6.020 Applicants for Licensure as Athletic Trainers

PURPOSE: This rule provides requirements to applicants desiring licensure in Missouri to practice as athletic trainers.

(1) The applicant is required to make application upon a form prescribed by the board.

(2) No application will be considered unless fully and completely made out on the specified form and properly attested.

(3) All applicants for licensure shall present, attached to the application, a recent photograph, not larger than three and one-half inches by five inches (3 1/2" × 5").

(4) The applicant shall show evidence of having passed the National Athletic Trainers’ Association Board of Certification, or its successor agency, examination by having the agency forward a transcript of the applicant’s scores directly to the board.

(5) The board shall charge each person applying for licensure to practice as an athletic trainer an appropriate fee which will be established by the board. The fee shall be sent with the application.

AUTHORITY: section 334.125, RSMo 2000, and sections 334.702, 334.704, 334.706, 334.708, 334.710, and 334.712, RSMo Supp. 2011.* This rule originally filed as 4 CSR 150-6.020. Emergency rule filed April 5, 1985, effective April 15, 1985, expired Aug. 13, 1985. Original rule filed May 3, 1985, effective Aug. 15, 1985. Amended: Filed July 25, 2000, effective Dec. 30, 2000. Amended: Filed March 1, 2005, effective Aug. 30, 2005. Moved to 20 CSR 2150-6.020, effective Aug. 28, 2006. Amended: Filed Oct. 16, 2006, effective May 30, 2007. Amended: Filed June 27, 2007, effective Dec. 30, 2007. Amended: Filed Nov. 1, 2011, effective April 30, 2012.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995; 334.702, RSMo 1983, amended 2004, 2008; 304.704, RSMo 1983, amended 2004; 334.706, RSMo 1983, amended 1993, 1995, 2004, 2006; 334.708, RSMo 1983 amended 2004, 2006; 334.710, RSMo 1983, amended 2004; and 334.712, RSMo 1983, amended 2004.

20 CSR 2150-6.025 Examination

(Rescinded March 30, 2008)

AUTHORITY: section 334.706, RSMo Supp. 2004. This rule originally filed as 4 CSR 150-6.025. Original rule filed July 25, 2000, effective Dec. 30, 2000. Amended: Filed March 1, 2005, effective Aug. 30, 2005. Moved to 20 CSR 2150-6.025, effective Aug. 28, 2006. Rescinded: Filed Sept. 13, 2007, effective March 30, 2008.

20 CSR 2150-6.030 Licensure by Reciprocity

PURPOSE: This rule provides information to those applicants desiring registration by reciprocity.

(1) The board shall grant, without examination, licensure to any qualified nonresident athletic trainer holding a license or registration in another state if that other state recognizes licensees of Missouri in the same manner.

(2) All applicants are required to make application upon forms prescribed by the board.

(3) No application will be considered unless fully and completely made out on the specified form and properly attested.

(4) All applicants shall furnish, on a form prescribed by the board, verification of registration/licensure from every state, territory or country in which the applicant has ever been registered/licensed to practice as an athletic trainer.

(5) All applicants for reciprocity shall present, attached to the application, a recent photograph, not larger than three and one-half inches by five inches (3 1/2" ´ 5").

(6) All applications shall be sent to the executive director of the State Board of Registration for the Healing Arts, 3605 Missouri Boulevard, PO Box 4, Jefferson City, MO 65102.

(7) The board shall charge an appropriate fee which will be established by the board to each person applying for licensure by reciprocity as an athletic trainer. The fee shall be sent with the application and in the form of a bank draft, postal money order or express money order. (Personal checks will not be accepted.)

AUTHORITY: sections 334.125, RSMo 2000 and 334.702, 334.704, 334.706, 334.708, 334.710 and 334.712, RSMo Supp. 2004.* This rule originally filed as 4 CSR 150-6.030. Emergency rule filed April 5, 1985, effective April 15, 1985, expired Aug. 13, 1985. Original rule filed May 3, 1985, effective Aug. 15, 1985. Amended: Filed April 4, 1988, effective Aug. 18, 1988. Amended: Filed July 25, 2000, effective Dec. 30, 2000. Amended: Filed March 1, 2005, effective Aug. 30, 2005. Moved to 20 CSR 2150-6.030, effective Aug. 28, 2006.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995; 334.702, RSMo 1983 amended 2004; 334.704, RSMo 1983 amended 2004; 334.706, RSMo 1983, amended 1993, 1995, 2004; 334.708, RSMo 1983 amended 2004; and 334.710, RSMo 1983, amended 2004; and 334.712, RSMo 1983, amended 2004.

20 CSR 2150-6.040 Code of Ethics

PURPOSE: This rule provides an ethical standard for persons licensed as athletic trainers to follow.

(1) The board and the Missouri Athletic Trainer Advisory Committee adopt and incorporate by reference the Code of Ethics, updated September 28, 2005, published by the National Athletic Trainers’ Association, Inc. (NATA), 2952 Stemmons Freeway, Dallas, TX 75247. A copy of the NATA’s Code of Ethics is retained at the office of the board and is available to any interested person, upon written request, at a cost not to exceed the actual cost of the reproduction. This rule does not incorporate any subsequent amendments or additions.

AUTHORITY: section 334.125, RSMo 2000, and section 334.706.3(2), RSMo Supp. 2011.* This rule originally filed as 4 CSR 150-6.040. Emergency rule filed April 5, 1985, effective April 15, 1985, expired Aug. 13, 1985. Original rule filed May 3, 1985, effective Aug. 15, 1985. Amended: Filed April 4, 1988, effective Aug. 18, 1988. Amended: Filed March 1, 2005, effective Aug. 30, 2005. Moved to 20 CSR 2150-6.040, effective Aug. 28, 2006. Amended: Filed Nov. 1, 2011, effective April 30, 2012.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995 and 334.706, RSMo 1983, amended 1993, 1995, 2004, 2006.

20 CSR 2150-6.050 Athletic Trainer Licensure Fees

PURPOSE: The State Board of Registration for the Healing Arts is statutorily obligated to enforce and administer the provisions of sections 334.002–334.749, RSMo. Pursuant to section 334.090, RSMo, the board shall by rule and regulation set the amount of fees authorized by sections 334.002–334.749, RSMo, so that the revenue produced is sufficient, but not excessive, to cover the cost and expense to the board for administering the provisions of sections 334.002–334.749, RSMo.

(1) The following fees are established by the State Board of Registration for the Healing Arts:

(A) Athletic Trainer

1. Licensure Fee $25

2. Renewal Fee $25

(B) General Fees

1. Duplicate License Fee $ 0

2. Late Renewal Fee

(Delinquent Fee) $25

3. Return Check Fee $25

4.Verification of Licensure Fee $ 0

(2) All fees are nonrefundable.

(3) The provisions of this rule are declared severable. If any fee fixed by this rule is held invalid by a court of competent jurisdiction or by the Administrative Hearing Commission, the remaining provisions of this rule shall remain in full force and effect, unless otherwise determined by a court of competent jurisdiction or by the Administrative Hearing Commission.

AUTHORITY: sections 334.125 and 334.706.3(2), RSMo 2016.* This rule originally filed as 4 CSR 150-6.050. Emergency rule filed April 5, 1985, effective April 15, 1985, expired Aug. 13, 1985. Original rule filed May 3, 1985, effective Aug. 15, 1985. Amended: Filed Sept. 15, 1988, effective Jan. 1, 1989. Amended: Filed April 30, 2002, effective Nov. 30, 2002. Amended: Filed March 1, 2005, effective Aug. 30, 2005. Moved to 20 CSR 2150-6.050, effective Aug. 28, 2006. Amended: Filed Dec. 5, 2007, effective June 30, 2008. Emergency rescission and rule filed Sept. 1, 2016, effective Sept. 11, 2016, expired March 9, 2017. Rescinded and readopted: Filed Sept. 1, 2016, effective Feb. 28, 2017.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995, 2014 and 334.706, RSMo 1983, amended 1993, 1995, 2004, 2006.

20 CSR 2150-6.060 Renewal of Licensure

PURPOSE: This rule provides information to athletic trainers regarding annual renewal of licensure.

(1) A license shall be renewed on or before the expiration of the license by attesting to the completed renewal application and submitting the fee to the board. The license fee shall be the appropriate fee established by the board.

(2) The board shall mail an application for renewal to each person licensed in this state at the last known mailing address. The failure to mail the application or the failure to receive it does not, however, relieve any person of the duty to renew and to pay the fee required nor provide exemption from the penalties provided for failure to renew.

(3) All licensees shall renew with the board on the application form furnished by the board before January 30 of the year in which such license is due for renewal.

(4) Renewal application forms postmarked by the post office January 31 or after will be considered delinquent, however, should January 30 fall on a Saturday, Sunday or legal holiday, renewal forms postmarked by the post office on the next business day will not be considered delinquent.

(5) Any person practicing as an athletic trainer without a current license shall be subject to discipline under section 334.715, RSMo.

AUTHORITY: sections 334.125, RSMo 2000 and 334.706 and 334.710, RSMo Supp. 2004.* This rule originally filed as 4 CSR 150-6.060. Original rule filed July 25, 2000, effective Dec. 30, 2000. Amended: Filed March 1, 2005, effective Aug. 30, 2005. Moved to 20 CSR 2150-6.060, effective Aug. 28, 2006.

*Original authority: 334.125, RSMo 1959, amended 1993, 1995; 334.706, RSMo 1983, amended 1993, 1995, 2004; and 334.710, RSMo 1983, amended 2004.

20 CSR 2150-6.062 Late Registration and Reinstatement

PURPOSE: This rule implements new rules regarding the process for late registration and reinstatement applications.

(1) Whenever a licensed athletic trainer fails to renew their license before the license expiration date, their application for renewal of license shall be denied unless it is accompanied by all fees required by statute and rule together with the renewal form provided by the board and made under oath. The renewal form shall include:

(A) All addresses where they have practiced and resided since the expiration of their last period of licensure;

(B) The nature of their practice since expiration;

(C) Whether, since expiration, any registration or license, or right of theirs to practice in any other state or country has been suspended or revoked;